A nurse is discussing the differences between skeletal and skin traction with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding?

Clients with skin traction have more mobility than those with skeletal traction.

Clients with skin traction have more discomfort than those with skeletal traction.

Skeletal traction is more appropriate than skin traction for reducing a fracture.

Skeletal traction has less risk for infection than skin traction.

Answer and Explanation

The Correct Answer is C

Choice A reason:

Skin traction is indeed less restrictive than skeletal traction, allowing for more mobility. It is applied using bandages or adhesive material to the skin, which can be removed or adjusted more easily than the pins or screws used in skeletal traction. This type of traction is typically used for short-term treatment before surgery or when the injury is less severe.

Choice B reason:

Discomfort levels can vary depending on the individual and the specific circumstances of the traction. However, skin traction is generally considered to be less painful than skeletal traction because it is less invasive and applies less force. Skeletal traction, which involves the insertion of pins or wires directly into the bone, is likely to cause more discomfort due to the invasive nature of the procedure.

Choice C reason:

Skeletal traction is more appropriate for reducing fractures, especially in cases where a greater force is needed to align the bones. It involves the surgical insertion of pins or wires directly into the bone, allowing for a stronger and more stable pull that is necessary for the realignment of complex fractures.

Choice D reason:

Skeletal traction carries a higher risk of infection compared to skin traction because it is more invasive. The insertion of pins or wires into the bone creates a potential entry point for bacteria, which can lead to infection at the site of insertion.

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Correct Answer is D

Explanation

Choice A reason:
Telling a client that they will be at an increased risk of breast cancer due to fibrocystic breast changes would be incorrect. Fibrocystic breast changes are not directly linked to an increased risk of breast cancer. While the presence of complex fibrocystic changes may slightly elevate the risk, fibrocystic breasts themselves are a common and benign condition.

Choice B reason:
It is not accurate to say that the manifestations of fibrocystic breasts often get worse after menopause. In fact, fibrocystic changes are related to hormone levels, and most women experience relief from these symptoms after menopause when hormone levels decline.

Choice C reason:
Stating that menopause won't have any effect on the manifestations is also incorrect. Menopause typically leads to a decrease in hormone levels, which are associated with fibrocystic breast changes. Therefore, most women see an improvement in their symptoms after menopause.

Choice D reason:
The most appropriate response is that the manifestations usually go away after menopause. Fibrocystic breast changes are linked to hormonal fluctuations, and after menopause, when these fluctuations cease, the symptoms of fibrocystic breasts typically resolve.

A. Mantoux test B. Sputum culture for acid-fast bacillus C. Sputum smear D. Chest x-ray

Correct Answer is B

Explanation

Choice A reason:
The Mantoux test, also known as the tuberculin skin test, is used to detect latent TB infection but is not the most reliable for confirming active pulmonary TB. It can indicate if someone has been infected with TB bacteria, but it cannot differentiate between latent and active TB.

Choice B reason:
A sputum culture for acid-fast bacillus is the gold standard for diagnosing active pulmonary TB. It involves culturing a sample of sputum (phlegm) to see if TB bacteria grow, which confirms the diagnosis. This test is the most definitive and reliable method, although it may take several weeks to obtain results.

Choice C reason:
A sputum smear can detect TB bacteria in sputum samples quickly, but it is less sensitive than a culture. It can miss cases, especially if the bacterial load is low. Therefore, while useful for initial screening, it is not as reliable as a culture for confirming active TB.

Choice D reason:
A chest x-ray can show signs suggestive of TB, such as infiltrates or cavities in the lungs, but it cannot confirm the presence of TB bacteria. It is a supportive diagnostic tool but not definitive for active TB diagnosis.

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A nurse is discussing the differences between skeletal and skin traction with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has fibrocystic breasts. The client asks the nurse, "What will happen to my fibrocystic breast changes after menopause?" Which of the following statements is an appropriate response by the nurse?

Correct Answer is D

Explanation

A nurse is caring for a client who has a history of exposure to TB and symptoms of night sweats and hemoptysis. Which of the following tests should the nurse realize is the most reliable to confirm the diagnosis of active pulmonary TB?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?

A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures?

A nurse is caring for a client who has just returned from the Post-Anesthesia Care Unit (PACU) with an intravenous (IV) fluid infusion and a nasogastric (NG) tube in place following abdominal surgery. Which of the following data is the priority for the nurse to assess?

A nurse is caring for a client who has a prescription for balanced skeletal traction with a Thomas splint for the treatment of a fractured femur. Which of the following interventions should the nurse implement to prevent pressure points from developing around the edges of the splint?

A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?

A nurse is caring for a client who is taking aspirin for arthritis. The nurse should identify which of the following findings as an adverse effect of this medication?

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.)

A nurse is caring for a client whose throat culture is positive for group A streptococcus 24 hours after a rapid strep test (RST) was negative. Which of the following actions is the nurse's priority?